<div class="page_title">
    <span class="title_icon"><span class="coverflow"></span></span>
    <h3>Examenes complementarios</h3>    
</div>
<div id="content">
    <div class="grid_container">
        <div class="grid_12">
            <div class="widget_wrap">
                <div class="widget_top">
                    <span class="h_icon list"></span>
                    <h6>Registro de un nuevo examen complementario</h6>
                </div>
                <div class="widget_content">
                    <?php echo $this->Form->create('Excomplementario', array('id' => 'regitstraion_form', 'class' => 'form_container left_label')); ?>
                    <ul>
                        <li>
                            <div class="form_grid_12">
                                <label class="field_title" for="name">Nombre<span class="req">*</span></label>
                                <div class="form_input">
                                    <?php echo $this->Form->text('nombre', array('tabindex' => 1, 'class' => 'limiter required mid')); ?>
                                </div>
                            </div>
                        </li>     
                        
                        <li>
                            <div class="form_grid_12">
                                <label class="field_title" for="name">Precio<span class="req">*</span></label>
                                <div class="form_input">
                                    <?php echo $this->Form->text('precio', array('tabindex' => 1, 'class' => 'limiter required mid')); ?>
                                </div>
                            </div>
                        </li>      
                        <li>
                            <div class="form_grid_12">
                                <label class="field_title" for="descripcion">Descripcion</label>
                                <div class="form_input">                
                                    <?php echo $this->Form->textarea('descripcion', array('tabindex' => 1)); ?>
                                </div>
                            </div>
                        </li>                                                                
                        <li>
                            <div class="form_grid_12">
                                <div class="form_input">
                                    <button type="submit" class="btn_small btn_blue"><span>Registrar excomplementarios</span></button>
                                    <button type="reset" class="btn_small btn_blue"><span>Limpiar</span></button>
                                </div>
                            </div>
                        </li>
                    </ul>
                    </form>
                </div>
            </div>
        </div>           
    </div>
    <span class="clear"></span>
</div>

